Triceps nerve to deltoid nerve transfer after an unsatisfactory intra-plexus neurotization of the posterior division of the upper trunk

Al‐Qattan, Mohammad M.; Kattan, Abdullah E.; Al-Qahtany, Bayan S.; Al-Qattan, Omar M.; Al-Qattan, Heba M.

doi:10.1016/j.ijscr.2017.06.026

Cited by 2 publications

(2 citation statements)

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“…However, when the mode of injury is root avulsion or associated with a heavily scarred injury zone, neurotization, then, provides a more rational option (Rhode & Wolfe, 2007). Moreover; neurotization provides relatively predictable short recovery time expanding the indications for reconstruction to include cases with either late presentation or primary failed reconstruction (Al‐Qattan et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Comparison between long and lower medial head triceps branches in dual neurotization for shoulder function restoration in upper brachial plexus palsy

et al. 2020

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Purpose In upper brachial plexus injury (UBPI), restoring shoulder function is crucial. This study compares the transfer of long and lower medial heads of triceps branches to the axillary nerve to achieve proper restoration of function. Patients and Methods A retrospective comparative study was conducted between two groups of patients with (UBPI). Group I patients (10) [mean age: 19 ± 10.6 years] were managed by transferring triceps long head branch to axillary nerve while group II patients (8) [mean age: 26 ± 9.6 years] were managed by triceps lower medial head branch transfer. The mean time from injury to surgery was 6 ± 1.3 and 5 ± 1.7 months respectively. All patients were followed up for a minimum of 12 months with the assessment of VAS, DASH score, active range of motion (AROM) and strength of shoulder abduction and external rotation; in addition to shoulder endurance and strengths of donors. Postoperative, three‐monthly, electrodiagnostic assessments were performed. Results Postoperatively, the mean VAS and DASH scores; in addition to endurance time, showed significant enhancement in both groups. Patients in both groups have accomplished a mean abduction (AROM) of 98° ± 27.9 and 97° ± 11.9 respectively. The mean external rotation (AROM) was 48° ± 18.4 and 47° ± 9.2 respectively. Furthermore, group II patients had less triceps morbidity in addition to earlier and enhanced electrophysiological recovery. Conclusions Dual neurotization for shoulder function restoration in (UBPI) is capable of providing proper functional results with minimal donor morbidity. The triceps lower medial branch provides an excelling donor due to less triceps morbidity, extra length; yet, earlier and enhanced electrophysiological recovery.

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Section: Introductionmentioning

confidence: 99%

Comparison between long and lower medial head triceps branches in dual neurotization for shoulder function restoration in upper brachial plexus palsy

et al. 2020

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“…Triceps nerve-to-deltoid nerve transfer has become the standard-of-care in patients with isolated axillary nerve injury, isolated C5-C6 root avulsion of the brachial plexus, and in salvage of the paralyzed deltoid muscle following unsatisfactory intra-plexus neurotization of the posterior division of the upper trunk of the brachial plexus [ [1] , [2] , [3] ].…”

Section: Introductionmentioning

confidence: 99%

A technique to identify the axillary nerve and its cutaneous branch for triceps nerve-to-deltoid nerve transfer. A case report

Al‐Qattan

Andejani

Thallaj

2018

International Journal of Surgery Case Reports

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Triceps nerve to deltoid nerve transfer after an unsatisfactory intra-plexus neurotization of the posterior division of the upper trunk

Abstract: HighlightsWe present 3 cases of late distal nerve transfer to deltoid.The outcome was excellent despite the delay from time of injury.This was explained by the presence of partial muscle innervation.

Cited by 2 publications

References 12 publications

Comparison between long and lower medial head triceps branches in dual neurotization for shoulder function restoration in upper brachial plexus palsy

Comparison between long and lower medial head triceps branches in dual neurotization for shoulder function restoration in upper brachial plexus palsy

A technique to identify the axillary nerve and its cutaneous branch for triceps nerve-to-deltoid nerve transfer. A case report

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